<!DOCTYPE html PUBLIC "-//W3C//DTD XHTML 1.0 Transitional//EN" "http://www.w3.org/TR/xhtml1/DTD/xhtml1-transitional.dtd">
<html xmlns="http://www.w3.org/1999/xhtml">
<head>
#INCLURE "template/meta_rubrique.html"
</head>

<body class="cms">

<div id="wrapper">
	<div id="subwrapper">
		#INCLURE "template/entete.html"

        <div id="contenuPageRubrique">
							<form action="#VARIABLE(urlsite)/?fond=contact" method="POST">
								<input type="hidden" name="action" value="contact" />
								
										<label for="nom">Nom</label><br/>
										<input name="nom" type="text" /><br/>
								
										<label for="prenom">Pr&eacute;nom </label><br/>
										<input name="prenom" type="text" /><br/>
								
										<label for="email">Mon e-mail </label><br/>
										<input name="email" type="text" /><br/>
									
										<label for="tel">T&eacute;l&eacute;phone </label><br/>
										<input name="tel" type="tel"/><br/><br/>
									
									<p>Quel est l'objet de votre message ?</p>
										<input name="sujet" type="text" class="objet"/>
									<p>Vos commentaires, suggestions ou questions :</p>
										<textarea name="message" type="message" rows="12" cols="50"/></textarea>
									<div class="colonneSubmit">
										<input type="submit" value="valider"></button>
									</div>
							</form>	
		</div>
		#INCLURE "template/pied.html"	
	</div>
</div>
<script language="JavaScript" type="text/javascript" src="js/wz_tooltip.js"></script>

</body>
</html>
